Evaluation of patency of arteriovenous fistula and its relative complications in diabetic patients

To study the arteriovenous fistula patency, duration of its maintenance, and its relative complications. One hundred and thirty patients who had undergone hemodialysis during five years (1996 to 2001) were included in this study. The patency rate and complications, including paresthesia, pain induce...

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Bibliographic Details
Published in:	Urology journal Vol. 10; no. 2; pp. 894 - 897
Main Authors:	Mortaz, Seyed Saeed, Davati, Ali, Ahmadloo, Maryam Khan, Taheri, Hamid Reza, Golfam, Farzaneh, Tavakoli, Azin, Khalaj, Ali Reza
Format:	Journal Article
Language:	English
Published:	Iran Urology and Nephrology Research Center 2013 Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
Subjects:	Adolescent Adult Aged Aged, 80 and over arteriovenous fistula Arteriovenous Shunt, Surgical - methods Brachial Artery - physiopathology Brachial Artery - surgery diabetes mellitus type 2 Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - physiopathology Female Follow-Up Studies hemodialysis Humans Kidney Failure, Chronic - complications Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - therapy Male Middle Aged Prognosis Renal Dialysis - methods Retrospective Studies Vascular Patency Young Adult
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Summary:	To study the arteriovenous fistula patency, duration of its maintenance, and its relative complications. One hundred and thirty patients who had undergone hemodialysis during five years (1996 to 2001) were included in this study. The patency rate and complications, including paresthesia, pain induced by ischemia, venous hypertension, infection, erythema, and edema, were assessed. Data were recorded in the pre-designed questionnaire and statistically analyzed using t test. Mean ± standard deviation age of the patients was 58.08 ± 11.73 years (range, 18 to 80 years). Most of the fistulas were created at the left bracheocephalic (58 subjects). Side-to-side technique was the mostly applied technique (99.2%). The fistula patency was 100%, 92.64%, 89.48%, 84.38%, and 83.61% at year 1 to 5, respectively. There was a significant negative correlation between the subjects' age and maintained patency (P = .02). However, no significant difference was observed between the maintained patency and other variables, including gender, location of the fistula, and the type of the technique applied for creation of the fistula (P > .05). Diabetes does not have a negative impact on the rate of patency and its duration in arteriovenous fistula. However, further investigations on a larger population are recommended.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1735-1308 1735-546X